Answers – Comprehensive Exam
Preparation Material
Introduction:
This document provides a complete set of urology review
questions with verified answers, covering high-yield clinical
topics relevant for medical exams and board preparation. It
includes key concepts such as kidney stones, testicular torsion,
hydrocele, varicocele, renal cell carcinoma, bladder trauma,
Fournier’s gangrene, priapism, and urothelial carcinoma. Each
question is followed by the correct answer and concise clinical
explanations to aid understanding. Perfect for students
preparing for urology rotations, step exams, or professional
certification assessments.
Questions and Answers:
What are the indications to perform acute intervention on a
kidney stone as opposed to allowing it to pass on its own? -
Answer:-size
sepsis
nausea/vomiting
pt. has only one kidney
, bilateral obstruction
rising creatinine
prolonged high grade unilateral obstruction
An 18 year old male with no PMH presents with acute onset of
severe pain in his groin radiating into his testicle as well as
nausea and vomiting. On physical exam, *he has an elevated,
tender left testicle with a horizontal lie*:
a. clonus in left plantar reflex
b. hypoactive cremasteric reflex
c. diminished penile pulses
d. hyperactive cremasteric reflex
e. tender, boggy prostate -Answer:-B
(suggests a torsion)
What is the next best study to confirm diagnosis of a testicular
torsion? -Answer:-US
how do we treat a testicular torsion? -Answer:-detorsion of
testicles with bilateral orchidopexy